Pediatric Allergy and Immunology

What does a pediatric allergist-immunologist do?

Pediatric allergist-immunologist is a doctor engaged in the diagnosis and treatment of allergic diseases in children under 18 (bronchial asthma, allergic rhinitis, atopic dermatitis, urticaria, allergic conjunctivitis, drug intolerance), secondary and primary immunodeficiencies, in accordance with international standards.

What problems and illnesses should you see a pediatric allergist-immunologist with?

• Long-term paroxysmal cough sometimes with a whistle without temperature.
• Congestion and nasal discharge without infection
• The presence of itchy lesions on the skin
• Periodic appearance of edema of mucous membranes (nose, eyes, lips, vocal cords) and skin
• Itching and tearing in the absence of an infectious process
• Frequent colds
• Four or more acute otitis during the year.
• Two or more severe sinusitis during the year.
• Long, two months or more, antibiotic therapy with minimal effect
• Two or more pneumonia during the year
• Lack of dynamics in the infant's growth and weight
• Repeated deep abscesses of the skin or internal organs.
• Resistant oral thrush or fungal infection of the skin
• The need for intravenous antibiotics to treat infections
• Two or more deep infections, including septicemia

What services does a pediatric allergist-immunologist provide?

• Primary consultation with a pediatric allergist-immunologist
• Repeated consultation with a  pediatric allergist-immunologist
• Specific allergic diagnosis of all types of allergic reactions:
  • pollen
  • indoor
  • epidermal
  • food
  • mold
  • medicinal

• Diagnosing drug intolerance using in vivo and in vitro, patch tests
• Screening tests, determination of common and recombinant immunoglobulin E
• Diagnosing of acute and chronic urticaria, with determination of tryptase level, ECP
• Diagnosing of bronchial asthma, diagnosis of "cough syndrome". Provocative bronchial tests from 7 years
• Specific immunotherapy of allergic diseases
• Diagnosing of immunodeficiency states, including primary immunodeficiency states
• Prescribing treatments
• Training programs for patients and parents with asthma and allergies

What examination does a pediatric allergist-immunologist prescribe?

• General clinical blood test
• Total IgE
• Specific IgE
• Allergy Screening Tests
• Allergy Testing
• Evaluation of immune status
• Screening for an infection process
• Spirometry with samples from 7 years
• Exhaled nitric oxide test from 4 years
• Chest X-ray
• Computed tomography of the chest

Molecular allergic diagnostics is a modern and most reliable method for diagnosing allergies, which makes it possible to select the proper and accurate components of allergen-specific immunotherapy (ASIT) and develop recommendations for diet and elimination measures.

For allergen-specific immunotherapy (ASIT), all types of pollen, indoor and insect allergens are available that can be found in our region:

• tree pollen (birch, alder, hazel, etc.)
• grass pollen and meadow grass pollen (timothy, hedgehog team, chaff, ryegrass, etc.)
• weed pollen (wormwood, ragweed, sunflower)
• indoor allergens (house dust mites, mold fungi, in particular, alternapia, Kladospopium, acpergillus)
• food allergens (milk, egg, wheat, fish, chicken, beef, casein, citrus, chocolate, etc.)
• animal/pet allergens (cat, dog)
• insect allergy (insect poisoning)

In our clinic, experienced allergists treat allergies using the safest products of European manufacturers, individual allergens (allergoids) manufactured by Inmunotek (Spain) in the sublingual and injection forms, as well as tablets of immunotherapy offered by Lofarma (Italy)

Tablet form is convenient for regular use. Allergens of the Lais series (a mixture of tree pollen, a mixture of meadow grasses, ragweed, wormwood, house dust mites, cat) have shown their high efficiency and safety.